Not everything that wheezes is asthma
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Bird fancier’s lung disease (BFLD), also known as bird breeder’s lung; it is a type of hypersensitivity pneumonitis (HP) caused by exposure to avian antigens.
It can present as acute to sub-acute hypersensitivity pneumonitis.
If not recognized early, it can progress into the chronic/fibrotic form leading to respiratory failure and fatal consequences.
We present a case of a fifty-seven-year-old, non-smoking female who presented with dry cough and dyspnea.
She had been previously diagnosed with asthma.
She is on combined inhaled corticosteroids and long-acting beta 2 agonist.
Upon reviewing and carefully assessing the risk factors, diagnosis of BFLD was made.
She showed significant improvement with prednisolone treatment and avoiding exposure to the antigen.
A history of exposure to birds, especially in non-smoking females, should alert the treating physician to the possibility of BFLD.
This case illustrates how HP is being misdiagnosed as asthma and how a wheeze can mislead the physician into diagnosing asthma in a patient with significant history of exposure to birds.
American Psychological Association (APA)
Qarata, Aishah Ibrahim& Bella, Abd al-Halim& al-Fadil, Hani. 2019. Not everything that wheezes is asthma. Bahrain Medical Bulletin،Vol. 41, no. 4, pp.271-274.
Modern Language Association (MLA)
Qarata, Aishah Ibrahim…[et al.]. Not everything that wheezes is asthma. Bahrain Medical Bulletin Vol. 41, no. 4 (Dec. 2019), pp.271-274.
American Medical Association (AMA)
Qarata, Aishah Ibrahim& Bella, Abd al-Halim& al-Fadil, Hani. Not everything that wheezes is asthma. Bahrain Medical Bulletin. 2019. Vol. 41, no. 4, pp.271-274.
Includes bibliographical references : p. 273-274
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